Uretero-Ileal-Urethral Anastomosis.
- Author:
Ju Eun KIM
1
;
Young Ho PARK
Author Information
1. Department of Urology, Soon Chun Hyang University, Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Continent ileal neobladder
- MeSH:
Cystectomy;
Humans;
Male;
Nipples;
Peristalsis;
Ureter;
Urethra;
Urinary Diversion
- From:Korean Journal of Urology
1990;31(5):747-753
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The continent ileal neobladder is an ileal pouch that is anastomosed to the urethral stump for urinary diversion after radical cystectomy. We report our results in 4 patients who underwent this type of diversion. The 1st case is Camey procedure. In another 3 cases, to achieve a low pressure system, disruption of directional bowel peristalsis with a longitudinal incision at tire antimesenteric border of a 40cm to 60cm ileal segment is performed. A spherical pouch, the neobladder, is fashioned and anastomosed to the urethra. The ureters are implanted according to the method of Le Duc and Camey (Case 2). In case 3 and 4, the ureters are implanted by an antireflux nipple ureteroileostomy. The use of this ileal neobladder in male patient undergoing radical cystectomy offers an alternative free of a stoma to urinary diversion.
